Catch those DVTs Early... BEFORE they get to the 💔 + đŸ«! #POCUS

1⃣Learn how to Easily do DVT Ultrasound
2⃣Learn how to use Compression Properly
3⃣Recognize False Positives for DVT

✅New Blog Post 👉🔗 https://pocus101.com/dvt 

#medtweetorial👇(1/20)
Catch those DVTs Early... BEFORE they get to the + ! #POCUSLearn how to Easily do DVT UltrasoundLearn how to use Compression ProperlyRecognize False Positives for DVTNew Blog Post https://pocus101.com/dvt  #medtweetorial(1/20)
Catch those DVTs Early... BEFORE they get to the + ! #POCUSLearn how to Easily do DVT UltrasoundLearn how to use Compression ProperlyRecognize False Positives for DVTNew Blog Post https://pocus101.com/dvt  #medtweetorial(1/20)
Catch those DVTs Early... BEFORE they get to the + ! #POCUSLearn how to Easily do DVT UltrasoundLearn how to use Compression ProperlyRecognize False Positives for DVTNew Blog Post https://pocus101.com/dvt  #medtweetorial(1/20)
2 Download the FREE DVT Ultrasound PDF Pocket Card!
👉🔗 https://pocus101.com/dvt 
3 These are the most important deep veins to know:

1⃣Common Femoral Vein (CFV)
2⃣ Great Saphenous Vein
3⃣ Bifurcation of CFV into Deep Femoral Vein and Femoral Vein (aka superficial femoral vein)
4⃣ Popliteal Vein
5⃣ Trifurcation of the Popliteal Vein
👉🔗 https://pocus101.com/dvt 
4 We recommend the 3-point protocol
👉🔗 https://pocus101.com/dvt 

Compress at:
1⃣ Saphenofemoral Junction
2⃣ Bifurcation of CFV into Deep Femoral Vein and Femoral Vein
3⃣ Popliteal Vein up to the trifurcation

This figure shows the differences b/n protocols
5 Proper Vein Compression: You should apply pressure until the pulsatile artery compresses slightly. If the adjacent vein compresses completely, there is no DVT at that spot.

👉🔗 https://pocus101.com/dvt 
6 Apply gel onto the probe and place it along the inguinal ligament.

Orient the probe perpendicular to the skin with indicator facing the patient’s right to obtain the transverse view of the Common Femoral Vein and Common Femoral Artery. Compress.

👉🔗 https://pocus101.com/dvt 
6 Apply gel onto the probe and place it along the inguinal ligament.Orient the probe perpendicular to the skin with indicator facing the patient’s right to obtain the transverse view of the Common Femoral Vein and Common Femoral Artery. Compress. https://pocus101.com/dvt 
6 Apply gel onto the probe and place it along the inguinal ligament.Orient the probe perpendicular to the skin with indicator facing the patient’s right to obtain the transverse view of the Common Femoral Vein and Common Femoral Artery. Compress. https://pocus101.com/dvt 
6 Apply gel onto the probe and place it along the inguinal ligament.Orient the probe perpendicular to the skin with indicator facing the patient’s right to obtain the transverse view of the Common Femoral Vein and Common Femoral Artery. Compress. https://pocus101.com/dvt 
7 Slide the probe 1-2 cm down the patient’s leg to find where the great saphenous vein branches off of the CFV. Apply compression.

👉🔗 https://pocus101.com/dvt 
7 Slide the probe 1-2 cm down the patient’s leg to find where the great saphenous vein branches off of the CFV. Apply compression. https://pocus101.com/dvt 
7 Slide the probe 1-2 cm down the patient’s leg to find where the great saphenous vein branches off of the CFV. Apply compression. https://pocus101.com/dvt 
7 Slide the probe 1-2 cm down the patient’s leg to find where the great saphenous vein branches off of the CFV. Apply compression. https://pocus101.com/dvt 
8 Slide the probe 1-2 cm down the patient’s leg to find where the CFV branches into the deep femoral vein and (superficial) femoral vein. Apply compression.

👉🔗 https://pocus101.com/dvt 
8 Slide the probe 1-2 cm down the patient’s leg to find where the CFV branches into the deep femoral vein and (superficial) femoral vein. Apply compression. https://pocus101.com/dvt 
8 Slide the probe 1-2 cm down the patient’s leg to find where the CFV branches into the deep femoral vein and (superficial) femoral vein. Apply compression. https://pocus101.com/dvt 
8 Slide the probe 1-2 cm down the patient’s leg to find where the CFV branches into the deep femoral vein and (superficial) femoral vein. Apply compression. https://pocus101.com/dvt 
9 Move the probe into the posterior crease of the knee and scan 2 cm above and below to find the popliteal vein. Remember "Pop on Top." Apply compression.

👉🔗 https://pocus101.com/dvt 
9 Move the probe into the posterior crease of the knee and scan 2 cm above and below to find the popliteal vein. Remember "Pop on Top." Apply compression. https://pocus101.com/dvt 
9 Move the probe into the posterior crease of the knee and scan 2 cm above and below to find the popliteal vein. Remember "Pop on Top." Apply compression. https://pocus101.com/dvt 
9 Move the probe into the posterior crease of the knee and scan 2 cm above and below to find the popliteal vein. Remember "Pop on Top." Apply compression. https://pocus101.com/dvt 
10 Continue to scan slightly more distal from the popliteal vein to find its trifurcation.

👉🔗 https://pocus101.com/dvt 
10 Continue to scan slightly more distal from the popliteal vein to find its trifurcation. https://pocus101.com/dvt 
10 Continue to scan slightly more distal from the popliteal vein to find its trifurcation. https://pocus101.com/dvt 
10 Continue to scan slightly more distal from the popliteal vein to find its trifurcation. https://pocus101.com/dvt 
11 Deep vein thrombosis can be detected in two main ways using point of care ultrasound: direct clot visualization, non-compressibility of the vein. Download the PDF!

👉🔗 https://pocus101.com/dvt 
12 Direct Clot Visualization of echogenic mobile DVT

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13 Non-compressible vein:

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14 Color Doppler with Augmentation (squeezing of calf) can be performed but be careful to not dislodge a large or mobile clot!

👉🔗 https://pocus101.com/dvt 
15 Superficial Thrombophlebitis in a varicose vein or small saphenous vein can cause a false positive for DVT.

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16 A Baker’s cyst is a fluid-filled cyst in the popliteal bursa and can be a false positive.

It appears as a circular anechoic mass with sharply defined borders in both the longitudinal and transverse view. On Color Doppler, there should be no flow.

👉🔗 https://pocus101.com/dvt 
16 A Baker’s cyst is a fluid-filled cyst in the popliteal bursa and can be a false positive.It appears as a circular anechoic mass with sharply defined borders in both the longitudinal and transverse view. On Color Doppler, there should be no flow. https://pocus101.com/dvt 
16 A Baker’s cyst is a fluid-filled cyst in the popliteal bursa and can be a false positive.It appears as a circular anechoic mass with sharply defined borders in both the longitudinal and transverse view. On Color Doppler, there should be no flow. https://pocus101.com/dvt 
17 On ultrasound, a lymph node can look similar to a clot because it is a hypoechoic oval structure with a hyperechoic center. However, in the longitudinal view, a lymph node is circumscribed and not tubular in structure like a vein.

👉🔗 https://pocus101.com/dvt 
18 On ultrasound, pseudoaneurysms present as anechoic or hypoechoic images. With Color Doppler, you can see a “Yin-Yang Sign” from the circular motion of blood inside the pseudoaneurysm cavity. Don't confuse this for a non-compressible vein.

👉🔗 https://pocus101.com/dvt 
19 On ultrasound, a groin hematoma will be hypoechoic with some anechoic areas scattered throughout. If you scan the hematoma in the longitudinal view, it becomes obvious that the object is circumscribed and not tubular like a vein or artery.

👉🔗 https://pocus101.com/dvt 
20 Want to learn even MORE about DVT ultrasound? Check out our newly released #POCUS Board Review Book with an exclusive 20% discount code!
👉🔗 https://pocus101.com/RevBook 
You can follow @Pocus101.
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